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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Friday, May 3, 2024 12:00 PM CDT

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PETRUS, MALLORY
Practice Address: 6006 SE ADAMS BLVD
BARTLESVILLE OK 74006

Address last updated on 12/29/2013
Phone #: (918) 335-5600
Fax #:
County: WASHINGTON
License: 4648
Dated: 8/29/2012
Expires: 1/31/2015
Temp. Ltr. Issued: 8/24/2012
Temp. Ltr. Expires: 9/13/2012
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2015
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
6006 SE ADAMS BLVD
BARTLESVILLE OK 74006

Phone #: (918) 335-5600
Fax #:

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